How long does lantus last

Common Questions and Answers about How long does lantus last

lantus

This is the peak I've been struggling with. Does anyone else have this effect in early a.m. after taking Lantus at night? Last doctor was neutral on the subject.
Now in a different city and new endocrinologist. After discussing, she saw no problem taking Lantus in morning instead. (I'm puzzled why I read everywhere that it must be taken at night)...now my problem is high a.m. readings of around 225 or so. This is with a great bedtime, several hours after a meal, of 90-110.

I did not start any other meds with the Lantus. I also became proactive last night and stopped the Lantus. I went back to my NovoRapid, Novolin NPH routine. Will see how I feel in a couple of days. Today went well. I want to find out before discussion with the dr. if this could be the problem, otherwise they will have nothing to compare it to because as I am finding out there are many different reactions as there are people.

Does anyone know a formula for amount of Lantus needed for a basal dose vs how many units fast-acting you take per carb? I have major swings. Yesterday was told by a nurse that the Lantus I take is really low compared to amount of Humalog I take, but she never told me HOW much she thought I should be taking.
I take 1.5 u Humalog per carb for all meals (for last 3 weeks - has changed many times). I'm supposed to take 11 u Lantus in am. My morning BS is usually 300-500.

kenai,
Don't be too quick to blame the Lantus. If you have only been T1 since October last year, you are probably still producing some insulin. And it is not unusual for intermittent spurts of endogenous insulin to occur as the honeymoon period proceeds.
So your sudden drops in bg could have nothing to do with the insulin you are injecting. In which case you will just have to live with them until your honeymoon period is over.

I have just started using Lantus and am having a hard time controlling BGs. Does anyone have any anecdotal experiences with it? First, there is the 22 hour duration. If I take it at bedtime, I find that getting control of dinnertime BG is very difficult - I have to use 3-4 x the normal dose of insulin to get on top of it until it is time to take the Lantus. Then, I have a perfect fasting and control one day and it starts slowly eroding so that in 3 days I am dealing with BG's in the 200's.

I'm having trouble with how to know his carbohydrate-insulin ratio. I think I'm goind to start at 12 carbs/ 1 unit...Does this sound like a reasonable place to start? Also, what would be a good website to read up on this?

Yes, I would research the pump for this problem since your workouts are long. If you're using a long acting insulin such as Lantus, it's providing you a steady stream of basal insulin all day non-stop. With the pump, it supplies you with custom hourly basal rates that you can adjust.. so instead of one injection that lasts 24hrs, it will give you 1u or so per hour. Because of this, when you take the pump off, your basal is therefore stopped...

After another 5 days in the hospital, no one really knows what is going on. How many times does my husband have to go into ketosis before someone tells us what is going on. It is so frustrating. Keep om the tx, and keep getting 500 blood sugars. I hope my husband survives this nightmare.

Blood sugars still high despite a 'generous' dose of short acting insulin to cover dinner (was 97 2 hours after eating) and 2 additional units of long acting last night (14 units before bed - used to get away with 8 - 10). Either my insulin is bad (doubt it - it does still bring the numbers down) or there's something going on with me.
5 days until I can test! I kind of feel that I could be pregnant this time. The symptoms are different from previous attempts...

It took me so many years to understand I was feeding insulin, I can't even tell you how many. For a long-time diabetic like myself, I feel like I got a set idea in my mind of how much insulin I needed and simply stuck to it, regardless of the number of reactions, so the feeding and feeding went on. And no doctor ever mentioned cutting back on the insulin in terms of weight control.
Anyway, I now feel like I'm closer to actually taking the amount I need. But it requires a ton of testing!

His arm and back ache and the doctor has given him some muscle
relaxants. Besides rest what is the best way to recover from this and
how much long term damage is being done to his body? He is a tall
average size person who does work out maybe 2 times a week. EAch time
this has happened he gets too tired and falls asleep before he has
eaten enough. The low hits in the middle of the night
and the seizure begins.

After doing a great deal of research, I came to the conclusion that a little bit of insulin (Lantus, the long-lasting kind, injected nightly before bedtime) will spare my pancreas, and although it's "off label," my internist said he can't disapprove. So far those little shots seem to be working. I'm not quite a full-fledged diabetic, and I hope to remain that way.
With diabetes you need to experiment.

My doc put me on that toujeo stuff, I gained weight same as you all, felt like crap it was the same 70 units as I was taking with lantus. He said something about it last longer and other stuff. I had enough told him I want lantus back and someone needs to figure out where to put all these toujeo pens that I got cause I'm not taking it anymore.

but different some people find that Levamir does not last as long as lantis.
If it where me I would BUT I know when I am having a low and know how to control my sugars and how to raise MY BG if I go low amd how to lower my BG if I am high.
no one is going to say you can.... to much liability... and we dont know your capability's.
Call your MD and ask him/her.

We are using 2 checkers to make sure there wasnt a malfunction. It has went from 268 after fasting all night to 183 and has continued going up today. Howlong does it take the medicine to actually kick in? is there something else to take besides the metformin? He has been on this years and its not working. He has til friday to pass his physical (must be under 200) or he will lose his job, then without a job, he will not have insurance, therefore....this will just will not be resolved.

The Lantus is a much longer acting insulin without the drastic peaks which can give you a lot more flexibility. I don't know howlong you were on the Lantus before you switched back to the NPH, but your blood sugar swings may not have been totally related to the insulin, since you are still having problems on the NPH. My own preference would be to go back on the Lantus and give it another try. Perhaps eating a smaller snack or taking a littl less Lantus might do the trick.

I've gone through similar reactions with novolog and lantus. Lantus seems to keep my sugar levels very high regardless of what dose I take . novolog for seems to react only if I take after eating. I had to try and see what work for me and then explain to my doctor how I got it to work.

I am on lots of insulin (latus, rapid, metformin) also i have gained lots of weight when starting the shots and have become tired and hard to function, I just started byetta, i am on a controlled diet but my sugars have been way out of control due to stress (my father is and has been ill for a long time and i help take care of him) my last 2 -A1C's have been 11.

Lows are fairly minor when taking insulin this way as long as your overall Lantus dose is pretty accurate.
LantusDOES have a slight peak about 4 hours after injection. if injecting at night, your peak is happening while you sleep and this could be the main problem after weight-building excercise. Some diabetics who have this night-low problem and who start off taking the Lantus in the morning end up taking 2 injections per day. I am one of these people.

The basal/bolus regimen of a long acting insulin (Lantus) and a short-acting insulin before meals is the absolute best way to treat your high blood sugar. You are doing better, but your blood sugar is still much too high and you are at risk for complications. Why do you feel so negative about insulin? The basal/bolus system mimics what non-diabetics bodies do naturally: a small amount of background insulin 24/7 and then a burst of bolus insulin for your meals. It is certainly what you need.

I personally like the fact that Lantus is a slow insulin and I have lots of warning if it actually does cause a drop, since I am very sensitive to all insulins and have dealt with hypoglycemia as a dangerous side affect of tight control with other treatments. Both pumps and Lantus/quick-acting insulin treatments are amazingly effective. I think you simply need to weigh your lifestyle and make the decision, or perhaps try both and then decide what you like best.

The snack MUST contain PROTEIN so it will last you all night long. If you have only cereal, it will last you only a couple of hours.
Examples of what you can have for a bedtime snack:
Half peanut butter or meat sandwich
Some nuts
tuna and a few crackers
cheese and a few crackers
When you eat the snack, your fasting blood sugar will be lower than the 9 you've been having. Once you lower it with the snack, then you can start adjusting the Lantus.

Hi Bill! I'm a volunteer, not a medical professional, so please check & verify all information received here with your endocrinologist before taking any action. I am the parent of an 18 year old who was diagnosed at the age of 21 months and we've done shots (N&R, Lantus&Humalog), inhaled insulin (did a 2 year study), and currently she's on an insulin pump (& loving it!).
My daughter's endo had her on a sliding scale dosage, dependent on her bg reading.

I found out that I have a fistula located between my vagina
and my intestine. How is this fixed and what are the chances
that it would be malignant? Do you have to have surgery to
repair this or are there other means of fixing it? I am afraid
to have surgery because I had a slight stroke about 2 - 3 mos.
ago. I am on a lot of medications (plavix, altace (10 mgm.) twice a day, actose, metformin, lopressor,&lantus insulin.

2 is normal and mine was +12. I have been put on a very small dose of Lantus as well! Am I becoming Type I? I know that I am insulin resistant, and borderline Type II...my highest A1c within the last year was 6.2. It usually stays at 5.8 or 5.9.
Will the Lantus stop what the antibodies have started...will my pancreas completely stop making insulin due to the antibodies? Can anything stop it? I know continued weight loss and exercise will help Type II, but what about Type I. Am I doomed?

If your wife is experiencing frequent lows then she probably needs an adjustment in her medication. Is she on insulin? Basal/bolus? Howdoes she determine her bolus dose? Does she have a set dose? If so, it may be too high for the amount of carbs she is eating; an Insulin/Carb ratio is much safer. When does she take her basal (long acting) insulin? If she takes it at bedtime, then that may be too high a dose that is making her blood sugar so low in the early morning.

I have had diabetes for the last seven years and am now 18. It looks like you are getting the hang of how to keep your blood sugar in control.
With all the new advances in diabetes contol and treatment diets are not as strict as they used to be.

I am a type 1 diabetic and for the last 6 months have integrated a fairly strict dietary plan into my life. My two 3 month averages since my changes have been respectively 97.2 & 93.6. Although I am happy with the results I have had confusing disparities regarding my morning blood sugar readings. I take 20 units of lantus before bed, but wake the following morning with results from anywhere between 60 & 144 despite having consistent ideal blood sugar readings after meals.

I'm happy to tell you that I find the pump exactly as you describe: freeing.
I am 48 and have had DM for about 35 years. Like you, I was taking multiple injections (but for many years & before Lantus was invented). What I love (yes, LOVE) about pumping is that once I learned the techniques (some from CDE, some from my endo, soem from the manual, and LOTS from folks like us "in the trenches") ...

The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.